Bays Harold Edward, Antoun Jumana, Censani Marisa, Bailony Rami, Alexander Lydia
Diplomate of American Board of Obesity Medicine, Medical Director / President Louisville Metabolic and Atherosclerosis Research Center, Clinical Associate Professor / University of Louisville Medical School, 3288 Illinois Avenue, Louisville, KY, 40213, USA.
Family Medicine, American University of Beirut, USA.
Obes Pillars. 2022 Mar 21;2:100013. doi: 10.1016/j.obpill.2022.100013. eCollection 2022 Jun.
The rates of obesity in Mediterranean and Middle East regions are increasing. This may be related to worsening physical inactivity, and gravitation away from more healthful nutrition.
This roundtable discussion includes 4 obesity specialists with experience in the clinical management of obesity. Included in this discussion are citations regarding obesity and populations from the Mediterranean and Middle East regions.
Among the most studied nutritional dietary pattern having evidence-based data supporting improved cardiometabolic health is the Mediterranean Diet. Prospective studies such as the PREvención con DIeta MEDiterránea (PREDIMED) study support the cardiometabolic benefits of dietary consumption of plant-based, higher fiber foods having a relatively high proportion of unsaturated fats. Cuisine from the Middle East has both similarities and some differences compared to the Mediterranean Diet. Interim analyses of the PREDIMED-Plus study suggest the Mediterranean Diet plus caloric restriction and physical activity intervention reduces body weight and improves cardiometabolic risk factors. As with any dietary intake, Mediterranean and Middle Eastern food choices and preparation affect their nutritional healthfulness.
The panelists of this roundtable discussion describe their practical diagnostic processes and treatment plans for patients with obesity from the Mediterranean Region and Middle East.
地中海地区和中东地区的肥胖率正在上升。这可能与身体活动减少以及远离更健康的营养有关。
本次圆桌讨论包括4位在肥胖临床管理方面有经验的肥胖专家。讨论内容包括有关肥胖以及地中海和中东地区人群的文献引用。
有循证数据支持改善心脏代谢健康的研究最多的营养饮食模式是地中海饮食。前瞻性研究，如地中海饮食预防研究（PREDIMED），支持食用以植物为基础、富含纤维且不饱和脂肪比例相对较高的食物对心脏代谢有益。中东美食与地中海饮食既有相似之处，也有一些不同。PREDIMED-Plus研究的中期分析表明，地中海饮食加上热量限制和体育活动干预可减轻体重并改善心脏代谢风险因素。与任何饮食摄入一样，地中海和中东地区的食物选择和烹饪方式会影响其营养健康程度。
本次圆桌讨论的小组成员描述了他们针对地中海地区和中东地区肥胖患者的实际诊断过程和治疗方案。
